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Home My WebLink AboutPermit Signage 2009-9-10 ~ ..~ ~) ..~< ~ .iI\-~'4. Q ~ d ' ..~ > ~ ~. ~ ~ '.~ ~ ~ e ~ u II I. '. -. ,.-1~ ~j ~ ~j4 ~ ~:0) -.,.--'< ~ }~ 1 ~ ~4 ~ I ~. .l!> ~ ~p. cohl.oo?~ooSS8 225 FIITH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 City Job NumberLocA.-f J": oC 9 -0 ) 3"'5 g ~D 10 O!VI-'P;C 5H . (, Assessors Mar I 7 0 3' Z 5'..3 ( Job Location UI'\:t C 5ff)nf C;e-IJ 0 R 97L(77 () /70 ( Tax Lot Addreoo {' b /IV OYV',!"^ or< :c../ Ce-\A- kwJ ~ , \ Phonp 'i.~ - 7 (0'7 Z. "r 7~ lS ( Ij: City d.-, State Contractl'T OU/N€rt... Addreso Pho.np City "tate Zip Construction Contractors License # Expirpo . Description T e rlIpor ~7 (l J Ba.~,.... Date of Installation Date of Removal Permit Fee: $225.00 including $100.00 Deposit and applicable fees. By signature, I state and agree that I have carefully completed, this application and hereby certifY that all information herein is true and correct. I further agree and understand that tlie above described banner(s) and/or portable sign(s) is not larger than 60 square feet, and will be removed within 30 days from the date listed above. If the banner(s) and/or portable sign is not removed within the timeline specified, I will forfeit the $100,00 deposit. I also understand that this special permit can be issued only twice per calendar year per development area, I also agree to call the inspection line at 726-3769 by the end of the 30th day to request an inspection to verifY the removal of the banner(s) and/or portable sign(s), This inspection will begin the process to retw:n the $100.00 deposit if the banner(s) and/or. portable sign(s) has been removed, ~atllTP . 9/9/0'1 Datp I ( Date of Application ?' -/ () - 0 1 Job # C? - / 33 g Receipt # Issued By 115 -- -.,..,p . :,- Amount Collected Shared Dri'Ve (T: )lBwlding F onnsIBanner ]ortabJe Sign Permit CSD 7-08 .doc l. CITY 01< ~t"Kmt..1<IELD Building/Combination Permit , . Status Finaled PERMIT NO: COM2009-01338 \ ISSUED: 09/10/2009 APPLIED: 09/10/2009 EXPIRES: 03/1012010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Insjlection Line SITE ADDRESS: 2090 OLYMPIC ST C ASSESSOR'S PARCEL NO,: 1703253107701 Springtield TYPE OF WORK: Banner TYPE OF USE: New Commercial PROJECT DESCRIPTION: Banner - ref:cod2009-00588 Owner: MCKAY COMMERCIAL PROPERTIES LLC Address: 76 CENTENNIAL LOOP STE D EUGENE OR 97401 I CONTRACTOR INFORMATION I Contractor Type Sign Contractor OWNER License Expiration Date Phone B,uILDING INFORMATION I # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: # of Stories: Height of Structure Type of Heat: Water Type: Range Type: Energy Path: Sprinkled Building: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION I REQUIRED PARKING Frontyard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: I PUBLIC IM~ROVEMENTS ~ Street Improvements: Storm Sewer Available: Special Instruction: Sidewalk Type: Downspouts/Drains: Notes: I Valuation DescriDtion I Description Type of Construction $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Page 1 of 2 ' Status Finaled CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2009-01338 ISSUED: 09/10/2009 APPLIED: 09/10/2009 EXPIRES: 03/10/2010 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-37691nspection Line Total Value of Project Fe~~ P,ai11 Fee Description ***+ 100/0 Administrative Fee*** + 5% Technology Fee Banner Special Permit, Amount Paid Date Paid Receipt Number $10,00 $5,00 $100,00 9/10/09 9/10/09 9/10/09 1200900000000001049 1200900000000001049 1200900000000001049 Total Amount Paid $115,00 Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769, All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Relluired T "snections . 11..11 ' By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with' the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety, I further certify that only, contractors and employees who are in compliance with ORS 701.005 will be used on this project, 1 further agree to ensure that all required inspections are requested at the proper time, that each address is readable from the, street, that the per' d is located at the front of the property, and the approved set of plans will remain on the site at all , times durin nstrUCliOI(ij;J, ~% -l/.[" Owner or Contra"7s Signature Date Paee 2 of 2 225 Fifth Str~et Springfii~ld, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2009-01338 COM2009-01338 COM2009-01338 Payments: Type of Payment Check cReceintl RECEIPT #: City of Springfield Official Receipt, Developmimt Services Department Public Works Department 1200900000000001049 Date: 09/10/2009 Description Banner Special Pennit + 5% Technology Fee ***+ 10% Administrative Fee*** Paid By EVANS CHIROPRACTIC Item Total: t.:heck Number Authorization Received By B~tch Number Number How Received djb 3043 In Person Payment Total: " Page I of I 2:24:25PM Amount Due 100,00 5,00 10,00 $115,00 Amount Paid $115,00, $11 5,00' 9/10/2009